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0910 •• 1HIS INN II1,11-NIII\S AN AR if l('IAIWAIFRNI\Rh i'Itl\l(Irl>N IIIF If <br /> TIIF FRt1Nr(1FTHE Ix1(LINIENI HAS A MICRO-MINT"SI(,NA7(1RF.LINI AHSEN(EOF THESE PEA]0111-S\11LI 1,1HI('A IF A i1"i 501 0256719 <br /> OFFICIAL CHECK REMITTER bank® 69-35/519 <br /> PRESENT FOR PAYMENT WITHIN 6 MONTHS OF THIS DATE <br /> DATE' <br /> . �' t' 1 i• -.r 1- Ill. -I_1(:. F--..-. J.1'�i. a �-`�•'� J , <br /> PAY TO THE <br /> ORDER OF nSTATE OF COLORADO DEPARTMENT OF MINERALS & GEOLOGY <br /> -Ir RA M;— -_Ir:-A 11 <br /> WSW,-fir.46 N v i_L 5�aL'N 2kt �MR� <br /> U11 13RUA MIA YI <br /> NOTICE TO CUSTOMERS DRAWER: U.S. BANK <br /> As a condition to this Inshlulwn's Issuance of flits check,pur- - <br /> chaser agrees to plovlde an appfoprlale Indemnify or affidavit s AUTHORIZlr1?SIGNATL}RE <br /> pnor I,I the refund or replacement„f 1hln check In the event If <br /> Is lost,n isplaced,or stolen In most Stales,a waiting period of <br /> 90 days applies <br /> •'i'I f ..' �i',�t <br /> o ISSUED BY TRAVELERS EXPRESS COMPANY,INC <br /> Y DRAWEE ONE VALLEY BANK,N A CHARLESTON,WV <br /> 1:0 5 1900 3 5 31:00 50 1 0 2 5 6 7 190110 88 <br />